Organization Active NPI

Handly Chiropractic & Wellness Center LLC

  • Chiropractor
  • Collinsville, VA
National Provider Identifier
1346564499
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001795 Issued in VA
Legal business name
HANDLY CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
4848 Kings Mountain Rd
Collinsville, VA 24078-1275
Phone
(276) 647-3728
Fax
(276) 662-2003
NPI assigned
Mar 18, 2010
Last updated
Oct 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Don Tyler Handly, D.C.NPI 1376544692
Title
Partner
Phone
(276) 647-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001795 VA Primary

Addresses

Primary practice location

4848 Kings Mountain Rd
Collinsville, VA 24078-1275

Mailing address

4848 Kings Mountain Rd
Collinsville, VA 24078-1275
Phone (276) 647-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000252 VA Part B Supplier - Clinic/Group Practice 6901921147 Receives reassigned benefits from 1 practitioner
Practice locations: Collinsville, VA

National Provider Directory

National Provider Directory

Locations

4848 Kings Mountain Rd
Collinsville, VA 24078
Phone (276) 647-3728

5140 Kings Mountain Rd
Collinsville, VA 24078
Phone (276) 647-3728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633219200000",
    "number": "1346564499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 KINGS MOUNTAIN RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781275",
            "telephone_number": "276-647-3728",
            "fax_number": "276-622-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 KINGS MOUNTAIN RD",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240781275",
            "telephone_number": "276-647-3728",
            "fax_number": "276-662-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDLY CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A",
        "authorized_official_last_name": "HANDLY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "276-647-3728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.